Provider Demographics
NPI:1164411146
Name:INSTITUTE FOR RESPIRATORY AND SLEEP MEDICINE P C
Entity Type:Organization
Organization Name:INSTITUTE FOR RESPIRATORY AND SLEEP MEDICINE P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-785-9457
Mailing Address - Street 1:1000 FLORAL VALE BLVD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5569
Mailing Address - Country:US
Mailing Address - Phone:215-785-9500
Mailing Address - Fax:215-785-9470
Practice Address - Street 1:1000 FLORAL VALE BLVD
Practice Address - Street 2:SUITE 125
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5569
Practice Address - Country:US
Practice Address - Phone:215-785-9500
Practice Address - Fax:215-785-9470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CE9259OtherRAILROAD MEDICARE GROUP #
CE9259OtherRAILROAD MEDICARE GROUP #
PAB40366Medicare UPIN
PAC26092Medicare UPIN
PAE83779Medicare UPIN
PAC29352Medicare UPIN
PA004380Medicare PIN
PAB34589Medicare UPIN